Condition type for French discharge diagnosis codes

[Christian_Reich]

Friends:

Trying to make progress on this the Condition Status concepts here: Primary dx vs Secondary dx - #37 by ericaVoss.

@nthurin

Related diagnosis [hospital settings]: exists only if the primary diagnosis is a care procedure with a code Z of the ICD-10 classification (e.g. chemotherapy session). It indicates the pathology at the origin of the care procedure

These would be also Primary diagnosis. The Z code would be a record in the PROCEDURE_OCCURRENCE table.

@nthurin

Associated diagnoses [hospital settings]: specified if they justify the use of specific healthcare resources. They are mainly underlying chronic diseases, making patient management more complex (and more expensive).

These would be Secondary diagnoses.

@nthurin

Long term disease registration: mainly concerned costly chronic diseases, obtained at the request of a patient’s practitioner and validated by the health insurance system physician. Once registered, patients receive full reimbursement for expenditure related to the disease.

They would also be Secondary diagnoses. The cost would be attached to the procedure. The fact that the procedure has a cost speaks for itself. Would that work?

@nthurin

SNDS we do not have outpatients diagnoses.

You don’t? Doctors don’t have to justify what they are doing with a diagnosis?

@nthurin

“ Significant associated condition ” ?

I would not overload them. Think of the analytical use cases. In all honesty, I don’t expect folks to use these Condition Status concepts at all much. Whether something is primary or secondary might seem very relevant, but at the end of the day folks will always revert to finding the first diagnosis of something to make the assumption of the disease to have begun.

@nthurin

They are eminently important! They are very specific with a very high positive predictive value. It is the major way to identify chronic conditions for out/inpatients in the database (e.g. diabetes, parkinson disease, cancer…).

We could call them “ Long term condition ”.

Yes, but if something is a chronic condition or not is defined by the condition. There is no acute diabetes mellitus and you can have only one of them in your life. And there is no chronic trauma, but you can have many. This needn’t a Condition Status. SNOMED btw tells you as well.